Browsing by Author "Kirigia, Consolata"

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Barriers to Immediate Post-Partum Intra-Uterine Contraceptive Device Uptake among Mothers Delivering at Meru Hospital
(Scientific Research Publishing Inc, 2019-03-04) Kirigia, Consolata; Gitonga, Lucy; Muraya, Moses Maugu
Global contraceptive use is at 64%, Africa lagging behind at 33.4%. Kenya has an unmet need for family planning at 23%. Hormonal injections are the most used in Africa at 9.8% and Intra-Uterine Contraceptive Devices at 3.8%. Low uptake of 3.4% was reported in Meru Hospital and lack of literature on immediate Post Partum Intra Uterine Contraceptive Device (PPIUCD) uptake. Immediate Post Partum Intra Uterine Contraceptive Device is a long acting reversible contraceptive device inserted into the uterus immediately within 48 hours after delivery. The objective was to assess Barriers to Immediate Post-Partum Intra-Uterine Contraceptive Device uptake among Mothers delivering in Meru Hospital. Descriptive research design was used and a population of 289 mothers was targeted. Sample size of 74 respondents was selected using simple random sampling. Questionnaires and interview schedules were used to collect data. The collected data were entered and analyzed using Statistical Package for Social Science windows version 23.0. Descriptive analysis was used to obtain frequencies and percentages. Chi-square was used to test the relationship of study variables and presented in tables. The qualitative data were analyzed thematically. The findings revealed that provider related barriers such as none provision of the services and untimely counseling for the insertion had the highest impact to low uptake (57%). Clients lacked information where 68% reported that they were not counseled. Demographic and reproductive characteristics also played a role in low uptake. Using the chi square test, there was a significant relationship, P = 0.001 between young age of the mothers, unemployment (53%), low parity (56%) and low uptake. Preference for other alternative contraceptives (25.8%) such as hormonal methods was a barrier to the uptake. Therefore, barriers to PPIUCD uptake are provider related, alternative methods of contraception and client related such as lack of information, unemployment, young age and low parity. The findings will inform Meru hospital management on barriers to immediate PPIUCD uptake. The study recommends an investigation on why providers hinder PPIUCD uptake and create awareness on PPIUCD services to the community.
IMPACT OF ADVANCED PRACTICE NURSES AND MIDWIVES ON PATIENTS’ OUTCOMES: A SYSTEMATIC REVIEW
(Chuka University, 2021) Kirigia, Consolata
Background: Advanced practice nursing and midwifery education was introduced globally and in Kenya with an objective of introducing high quality nursing and midwifery care services that would result to improved patients outcomes. Currently there are hundreds of advanced practice nurses and midwives who are underutilized and more precisely in Kenya due to little available evidence of the impact of advanced practice nurses and midwives on patients’ outcomes. Objective: To review available evidence on the impact of advanced practice nurses and midwives on patients’ outcomes. Methods: A wide search method was used to site literature from variety of databases. Review process involved inclusion of qualitative, quantitative and mixed method research studies that were recent and relevant to this study’s objective. Data were abstracted, organized into themes and sub-themes, summarized and results were reported by means of narrative synthesis. Quality of the research study was evaluated by using Mixed Method Appraisal Tool (MMAT) version 2018. Measures of advanced practice nurses’ and midwives’ impact were matched against a set framework including clinical significance for evaluating patient’s outcomes. Results: Out of the 10 studies that were included, the results suggested that there was a great impact of advanced practice nurses and midwives on positive patients’ outcomes. The outcomes were; early detection of disease complications, efficient and effective continuity of care, diagnostic accuracy and reduced polypharmacy, reduced length of hospital stay, reduced mortality rates, innovative service delivery, patient safety and satisfaction. Conclusion: There is need for more involvement of advanced practice nurses and midwives in healthcare delivery systems and specifically in Kenya in order to achieve positive patients’ outcomes
ORIGINAL RESEARCH: MIDWIVES’ KNOWLEDGE AND PRACTICE OF MIDWIFERY-LED CARE MODEL IN EMBU COUNTY, KENYA
(2023) Kirigia, Consolata; Prof Gitonga, Lucy; Dr Mukhwana, Sundays
The midwifery-led care model improves maternal and neonatal health outcomes. For midwives to autonomously utlise a midwifery-led care model, they must know what it entails within available practice guidelines. Little is known about practitioners’ knowledge and practice of this model in Embu County. The study found that there are gaps in knowledge and implementation of midwifery-led care in Embu. We recommend educating midwives about midwiferyled care, and the introduction of this model into the region as a means of strengthening midwifery practice to improve maternal and neonatal health outcomes.
Perceptions Towards Diagnosis Of Prostate Cancer in Tharaka Nithi County, Kenya
(Journal Of Nursing Practice, 2021-04) Kirungia, Timothy Kinoti; Kirigia, Consolata; Gitonga, Lucy; Kiruki, Silas
Background: Cancers are leading cause of death in developed nations and the second leading cause of death in developing nations. One of the most frequently diagnosed cancers among men is Prostate cancer (PCa). Purpose: This research study aimed at exploring the patient’s and family’s perceptions towards diagnosis of prostate cancer in Tharaka Nithi County, Kenya. Methods: The study population comprised of families and PCa patients attending Chogoria mission hospital, Magutuni sub-county hospital, Chuka county hospital and Tharaka subcounty hospital which were selected purposefully, from which a sample of 70 patients and 65 family members was obtained. Purposive sampling method was used to sample patients and families. Data were collected using interview schedules and focus group discussions and summarized using descriptive statistics. Statistical analysis for association between variables was done using chi-square tests. Results: The study revealed that; men in the age group 60-70 were most prone to the development of prostate cancer. A high percentage of patients and families perceived that prostate cancer was caused by genetic factors and should be treated by medical personnel. Over 50% of the patients and families had no idea of the symptoms of prostate cancer neither had they heard of it before the patient was diagnosed. The study also revealed that 50% of the patients suffered hypertension, 80% did not believe the diagnosis at first and over 50% perceived the diagnosis as a death sentence. PCa patients showed the highest level of acceptance and lung cancer patients the poorest acceptance of illness. Over 90% of the patients and families observed general health improvement after medication. Over 78% of the patients and family‟s had embraced insurance as a way of meeting the medical expenses. Conclusion: This study demonstrated that patients and families perceived the diagnosis of prostate cancer as a death sentence. They also had low level of knowledge about PCa. A strong correlation was demonstrated between family history and increased risk of PCa. However, it was demonstrated that family history of PCa did not increase levels of knowledge on the causes of PCa.